IntroductionThe health of your hearing affects you from before you are born until your very last day. In utero you can detect which voice is your mothers and distinguish it from all other voices. At four days old you can recognize your mother tongue. Hearing Health affects people of all ages and is something that people should not take for granted.
• Hearing Health can besummed up into three basicroles:DetectionPreventionManagement• How do I know whensomething is wrong?• What can I do to reducemy chances of havingearly in life hearing loss?• Do I have options once Ihave passed theprevention stage?
– Hearing is very important, yet complex– At birth, the ear is a fully developed part of our body– The ear is divided into three parts• Outer• Middle• Inner
Avoid loud noises and take precautionslike ear plugs and head phones to softennoise and protect your ears when workingin loud environments. This is the secondleading cause of hearing loss.Limit use of certain medicines like aspirinor take them in lower doses. Other types ofmedicines are NSAIDS and erectiledysfunction drugs.Limit use of drugs and alcohol, too muchalcohol can lead to hearing loss.
Avoid using cotton swabs for cleaning earsthese cannot only damage the small hairs thatline the ear that are essential to hearing, it canimpact the wax in your ear creating a biggerproblem or it can even break the tympanicmembrane, or the ear drum in laymans terms. Avoid smoking tobacco products. One of thebiggest concerns for what causes hearing lossis due to the boomers smoking in their youth.
See an audiologist on a regular basis.They can be found in doctors offices andhospitals. There are also many foundwith their own private clinics. It is importantto be tested on a regular basis. Dont wait! Get checked now and then getrechecked every year.
17%, 36 million Americanadults report some degree ofhearing loss 47%, 75 and older havehearing loss Men have a higher chance ofdeveloping a hearingimpairment Tinnitus(ringing in the ears) isa symptom of hearing loss
Damage to inner ear is known as sensorineural hearing loss(seeimages). If there is damage here, then sound signals are not sentto the brain. Conductive hearing loss occurs in the outer or middle ear Fluid build up from an ear infection forms a barrier Tumors Unusual bone growth
Ruptured eardrum Aging; hearing loss due toexposure to loud noisesover long periods of time Occupational noises suchas in factory work High fever can causedamage to theinner ear Congenital if hearing lossis present atbirth(suchas birthdefects)
• While hearing loss is preventable it still happens and often timespeople do not seek out the treatment they need. For people who doseek out treatment one of the options is hearing aids.• Hearing aids are a type of assistive device that picks sound wavesand then amplifies them through a speaker directly into the ear canal.The settings can be changed to fit each individual’s hearing loss.
• A correctly fitting hearing aid is essential to them functioning properly.If they do not fit there may be loud feedback and high pitchedwhistling to not only the person with the hearing aid but also to thosearound them.• Advanced hearing aids can be hookedup to TVs and blue tooth devices.
• Hearing aids must be maintained throughout the entire time that theyare owned. They first must be set to a lower volume setting and thengradually raised so that the listener can adapt and get used to thesound before it is raised.• Only one person out of every five people who need hearing aids getthem.
Rush Limbaughcochlear implant recipient• He began working in radioin the 60’s• He became a successfulnational celebrity in hiscareer in talk show radio• He experienced profoundhearing loss caused byautoimmune inner eardisease in 2000• In 2001, he received thecochlear implant and wasable to continue the job heloves
“A cochlear implant (CI) is a small, complexelectronic device that can help to provide asense of sound to a person who is profoundlydeaf or severely hard-of-hearing.” (NIDCD)• Unlike a hearing aid, the cochlear implant bypassesthe damaged portion of the ear to stimulate theauditory nerve.• The disease Rush had attacked his cochlea anddisabled his hearing so an implant was necessary torestore it.
“Cochlear implants (CI) have external parts and internal partsthat work together to allow the user to perceive sound.”(ASHA) External• Microphone• Speech processor• Transmitter Internal• Receiver• Electrodes
• When hearing loss is discovered, aprimary care physician will referthe patient to an Ear, Nose, andThroat doctor (ENT) to decide ifthat person is a candidate for a CI.• Some people who experiencehearing loss are able tosupplement that loss with hearingaids. In this case, an implantsurgery is not necessary.
• According to ASHA, benefits depend on many factors:– The age of the patient when he or she receives the implant• From birth to the age of six is a crucial language learning period ofdevelopment. After the age of six, learning language will be slightly moredifficult but not impossible.– Whether the hearing loss was present before or after the patientdeveloped language skills• If an adult was hearing before the loss occurred, he or she will benefitgreatly from the implant with little rehabilitation.• A previously deaf adult receiving an implant will not benefit muchbecause he or she has missed the crucial language learningdevelopment window.– The motivation of the patient and his or her family• Getting a cochlear implant is a life changing experience that requires hard workand dedication. It takes a team of people to help someone through the changesthat are to come.
• The greatest benefit of the CI is the ability to perceivesound.– According to the FDA:• Adults often benefit immediately• Most perceive loud, medium, and soft sounds.– Such as footsteps, slamming doors, or therustling of leaves• Many understand speech without lip-reading• Many can make telephone calls, watch TV moreeasily, and even listen to music!• http://www.youtube.com/watch?v=ZDD7Ohs5tAk
• There are a list of medical risks whenpeforming the surgery.– These range from infection to fluid leaks or even injuryto the facial nerve.• After reception of the implant, other issuescan and will arise:– A previously hearing person may hear soundsdifferently than they did before.– Residual hearing is usually lost which makes reversingthe surgery impossible.• Residual hearing is what little natural hearing aperson has before the implant.– May have difficulty learning language– May not be able to upgrade implant when newer,better implants are created
• Limitations of the Cochlear Implant continued:– May not be able to have certain medical examinations such as an MRI– The implant depends on batteries that will need to be changed out andreplacing damaged parts can be expensiveAfter receiving the CI, rehabilitation is required.o Tedious rehabilitation is required to teach previously deaf people howto use the new sounds that they are hearing.o After the age of six, the crucial window of language developement hasclosed and will make learning language more difficult but notimpossible.o Previously deaf adults may not ever be able to fully understand or uselanguage like previously deaf children
• The Cochlear Implant technology is not available to allproviders. There are specialists who can determine theneed for a CI and sub-specialists who actually performthe surgery.• A primary care physician will refer a person to anotolaryngologist if hearing impairment is suspected. If theotolaryngologist believes the person is a candidate for theCI, he or she will be referred to an Otologist for theimplant surgery.– “An otologist/neurotologist is a board-certified otolaryngologist whoprovides medical and surgical care of patients, both adult andpediatric, with diseases that affect the ears, balance system,temporal bone, skull base, and related structures of the head andneck.” (UMMC)• Speech-Language Pathologists work with patients afterthe reception of the implant to habilitate or rehabilitatethem into the hearing world.
After rehabilitation, a Cochlear Implant receiver cannow perceive and identify speech and sounds.This means that aperson can now:•Climb the corporateladder•Gossip with friends •And listen to music!
• Boswell, S. (n.d.). Cochlear Implants. American Speech-Language-HearingAssociation | ASHA. Retrieved May 4, 2012, fromhttp://www.asha.org/public/hearing/Cochlear-Implant/• Burke, L., & Weill, B. (2008). Information technology for the health professions (3.ed.). Upper Saddle River, N.J.: Pearson Prentice Hall.• Cochlear Implant - YouTube . (n.d.). YouTube - Broadcast Yourself. . Retrieved May4, 2012, fromhttp://www.youtube.com/watch?v=SmNpP2fr57A• Cochlear Implants. (n.d.). U S Food and Drug Administration Home Page. RetrievedMay 4, 2012, fromhttp://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/CochlearImplants/default.htm• Cochlear Implants . (n.d.). National Institute on Deafness and OtherCommunication Disorders [NIDCD] . Retrieved May 4, 2012, fromhttp://www.nidcd.nih.gov/health/hearing/pages/coch.aspx• What is an Otologist / Neurotologist?. (n.d.). University of Maryland MedicalCenter | Home. Retrieved May 6, 2012, fromhttp://www.umm.edu/otolaryngology/otolo_neuro.htm
• Spyridakou, C. (2012). HEARING LOSS: A HEALTH PROBLEM FOR ALL AGES. PrimaryHealth Care, 22(4), 16-20.• Noonan, D., Ulick, J., Springen, K., & Scelfo, J. (2005). A Little Bit Louder, Please.(Cover story). Newsweek, 145(23), 42-49• Unknown(2011). Prevention. Retrieved from:http://www.webmd.com/healthy-aging/guide/hearing-loss-prevention• Unknown(2011). 10 Ways to Prevent Hearing Loss. Retrievedfrom:http://www.reviewjournal.com/news/10-ways-prevent-hearing-loss